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Home My Public Portal About5332-5334-5336-5338-5340 VILLAGE CIRCLE DR_Building__ APPLICATION FOR BUILDING PERMIT. p � FOR APPLICANT TO FILL IN (Print or type'only) FU , COUNTY OF LOS ANGELES. 2— — 6- — — Cir.DEPARTMENT OF COUNTY ENGINEER le C7 t zIP 1 gp' Dr: ' BUILDING AND SAFETY DI ;SION NO.OF SLOGS. BUILDINGTrSIZE- L4o 5 Acre NOW ON LOT 1 ADDRESS 2- -38-40-42 Village �i ° TRACT 29602 Wk- 1-9 LOT NO. 1 LOCALITY -Temple C Dr. ,, TE LNEAREST OWNER NO.(95-880 CROSS ST. Baldwin ADDRESS6l Soo Lake St. MAP BOOK I PAGE PARCEL (� DISTRICT IGROUPITYPE FIRE P SSED BY CITY Pasaden ' ZIP 71101 '^' 14 CONST ZONE ARCHITECT (1yd Foerstel TEL. 1, ENGINEER NO• -00 STATISTICAL CLASS/IFICATION �t /,r��,/ SEWER P ADDRESS17231 Eo Railroad Cit o ndGLASS NO_0_�DWELL.UNITS 6jSK PG CONTRACTOR Noel Baldwin NEoL448-390 USE ZONE NOP Q ADDRESS100 Gr NO 2 np SPECIAL CITY LIC. '! CONDITIONS CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO❑ CONSTRUCTI N LENDER NAME AND BRANCH Tm erial Savings BLDG.SETBACK FROM i ADDRESS 61 So. Lake CITY Pasadena FRONT PROP.LINE OF (STREET) CC HIGHWAY {• YARD = TOTAL SETBACK FROM TYPE OF EXISTING r SQ. FTNO OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH ` SIZE 8101 STORIES 2 FAMILIES 6 ONE _ CCC + F DESCRIPTION OF WOR Fi � NEW ' C 'dn BLDG.SETBACK FROM New Development ADD ❑ SIDE PROP.LINE OF (STREET) • ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR[] , SIDE PROP. LINE HIGHWAY WIDTH USE OF EXISTING BLDGSingle Family Re F;MOL El + APP -ANT TEL CORNER CUTOFF YES ❑ NO ❑ (P INT) Noel B - IN OPEN SPACE YES ❑ NO BY (SIGNATURE ❑ a (] .IN COASTAL ZONE YES ❑ NO ❑ VALUATION s 171 v- -To 0�• CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUC ION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) 7� HE Y I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF E BOR CODE OF, THE STATE OF CA 0 IN RELAT G ORKMEN'S COMPENSATION IN N ' SIG E PERMITTEE ADDRESS Z FINAL BY TEL. CITY NO. 8- 0 DATE «< LL[[ Q PMT- MAKE CIIECXS PAYABLE TO: FEE 263.4$ ` FEE $ [HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. O. SASH — PERMIT A�.ID ION CK. M.O. CASH 8 9 9ir-IFEB 202 2 6 3AE 8,4b •76A638A CEpB03 7/73 v 1 1 61nog 14 1 0 - 8 7 8.2 5 °y� •®S 76A688A GE/808(REV.6/78) APPLICATION FOR: BUILDING PERMIT COUNTY OF LOS ANGELES 'BUILDING AND SAFETY BUILDING FOR APPLICANT�TO FILL IN ADDRESS 2. Civ BUILDING ,y ADDRESS "� LOCALITY NEAREST CITY ZIP g� CROSS ST. C teeny ..NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL / DIST.RI GROUP TYPE FIRE P SED BY TRACT 9 6 U BLOCK LOT LL,�N++��Ojj//.//�+� J:.& A / CONST` ; Zq E OWNER NCI '! STATISTICAL CLASSI�FICTION EWER MAP ADDRESS /� CLASS NO. _DWELL.UNITS B/CITY � �� ZIPp7 ' � - ' ARCHITECT OR TEL. VALUATION. ENGINEER NO. - ADDRESS BLDG:SETBACK FROM TEL. FRONT PROP.LINE OF (STREETI CONTRACTOR 6czNO. HIGHWAY + -YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC. - FRONT PROP.UNE- HIGHWAY. WIDTH ADDRESS NO. LIC. + _ CITY CLASS CONSTRUCW9K LENDER BLDG'SETBACK FROM NAME AN RANCH SIDE.PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE . - HIGHWAY WIDTH O SO.FT NO:OF NO.OF CHECK + = V SIZE STORIES FAMILIES ONE 0 DESCRIPTION OF WORK NEW ❑ P.C.Fee.$. Permit Fee �_ ADD ❑ Issuance Fee us ALTER ❑ 7 Z REPAIR ❑ Total Fee' USE TI EXISTING BLDG. DEMOL ❑ A� �//� � r 0121, APPLICANT TELG (PRINTI D . BY(SIGNATURE I HEREBY ACKNOWLEDGE HAT I HAVER D THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRE AND AGREE T COMPLY WITH ALL ORDINANCES AND LAWS REGULATING lfUl ING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY .WILL NOT EMPLOY'ANY PERSON IN VIOLATION OF - THE LABOR CODE OF THE ST E OF CALIFORNIA IN TING:TO WORKMEN'S COM: - Q ' PENSATION INSURANCE: - tL -Al SIGNATURE OF .; �'S'51,6 A PERMITTEE' ADDRESS e• #;o •o;o 0 0 1 Z CITY��= TEL 670: 2 - 2200' �J 220�� USE ZONE MAP - < 0 0 0 L a� SPEC SPEC ALNo. `C� CONDITIONS n 0,7 1;/ 7 9 FINAL Ci s/ 7 . BY �E��Z DATE /1 ✓ WORKERS' COMPENSATION DECLARATION hereby g oethat I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T i -�.urer, or a certificate of Workers' Compensation In rants, a certified co �y th of(Sec. 3800, lab. C.)' Y, COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No, v b Company�r � BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT M FILL IN ADDRESS 1 e.- . ❑ Certified copy is filed with the co, ing' sp BUILDIN�2/J� tion de artr t. ADDRE Date _i /� pplican �oa CITY I'� ZIP LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for on TRACT BLOCK A I LOT N96 MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) �y 10 TT USE ZONE NMOAP �3 OWNER ��IIA S .L/. TEL.NO. I certify that in the performance of the work for which this yy ^ permit is issued, I shall not employ any person in any manner ADDRESS (i / , I d b SPECIAL d CONDITIONS O so as to become subject to the Workers'Compensation Laws. y CITY ZIP 1 U Date pplicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER CONST. ZOblE O Exemption, you should become subject to the Workers' � W Compensation provisions of the Labor Code, you must forth- ADDRESS //// C a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION I APT. CONDO. Z deemed revoked. CONTRACTOR NO. !i � LICENSED CONTRACTORS DECLARATION ADDRESS I DWELL UNITS NO. CLASS NO. I hereby affirm that I am licensed under provisions of Chapter 9 �y LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business Cin, 7C l�V� CLASS VALIDATION and Professions Code,a c s in full fort ct. BK. PG. SQ. FT. NO.OF NO.OF C CK License r Lic. Class SIZE STORIES ILIES ONE �,� � f DESCRIPTION F WORK d NEW ❑ VALUATIONS+ Contrac Date $ pop.❑ ❑I am exemp under Sec. — I ADD ALTER B.BP.C. for this r �✓ USE OF REPAIR $ Date: EXISTING BLDG. DEM Signature APPLICANT D 1.0 TEL. IZ�J�� FINAL OWNER-BUILDER DECLARATION PRINT N((/J NO. O6 I hereby affirm that I am exempt from the Contractor's License / /{�er )�/ DATE Law for the following reason (Section 7031.5, Business and ADDRESS / � �/� `a D• FINAL Professions Code): PRESENT B s ❑ I, as owner of the property, or m employees with BUILDING Yr:�. P P Y. YADDRESS wages as their sole compensation,will do the work andt,-- the structure is not intended or offered for sale(Section LOCALITY , 1.33# Lt 7044, Business and Professions Code.) MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. L k EMD with licensed contractors to construct the project (Sec- ADDRESS L �-v °_�II—1 OT •�f -' tion 7044, Business and Professions Code.) o CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAPROPALINEFROM WIDTH 'CHECK the pe forma crm e ofat there the\wsFk forswhicion h this nperm tis issued for P.L. CHANGES (Sec. 37, Civ. C.). SIDE P.L. Lenders a LDMA Ref. # 0030— a P.C. Fee$ Permit Fee ° Lender's Address , 81,542 1 certify that I have read this application and state that the Issuance Fee �_� LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee r ordinances and State laws relating to building construction, Total Fee s' r LDMA Perm.# r and hereby author' a re sent ives o this County to enter g° on the-?a e- t'o ed a ty f inspection purpose 1� � l SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or AV40 Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY'/ LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0004030010 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST B ILDING ADDRESS: TR: 29602 LT: 3 UN: 73 SQ. FT STORIES TYPE 5340 VILLAGE CIRCLE DR STRUCTURE: 0 VN TEMP CA 917803360 ASSESSOR- INFORMATION N MBER: NEAREST CROSS STREET: BALDWIN 8585-001-143 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: RPD ISSUED ON: PROCESSED Y: EXPIRES ON: EXIST OCC GRP: 04/03/00 UT 09/30/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINALDA A BY: CODE: HOWE GLADYS M TR GLADYS M HOWE TRUS (818) 444-9020- 1 1,130 5340 VILLAGE CIRCLE TEMP 917803360 FEES PAID DESCRIPTION OF WORK TEAR OFF AND RECOVER GARAGE WITH ROCK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: BRONCO ROOFING (714) 632-1057- AA BLDG PERMIT ISSUANCE 27.75 811 E. LINCOLN AVE. AC STRONG MOTION RESID 1130.00 VAL 0.50 SPECIAL CONDITIONS: ORANGE,CA D2 PERMIT W/0 NQ — ,130.00 VAL 82.20 �E��STOW FEES 110.45 CONTRACTOR: TEL. NO: �Ocj APPROVALS DATE INSPECTOR SIGNATURE BRONCO ROOFING (714) 632-1057- 811 E LINCOLN AVE LIC. NO LOCATION AND SETBACKS ORANGE, CA 92665 344837 C39 / SOILS ENGINEER APPROVAL - ARCHITECT PPROVALARCHIT CT OR ENGI EER: TE FOUNDATIONPRENCH FORMS LIC. NO / 111111 SLAB/UNDER FLOOR L AISED FLOOR FRAMING 147H269 SEWER MAP BOOK: PAGE: FIRE ZONE: dP -\U D n ��j 11�1 /J S UNDERFLOOR INSULATION TUJILIA �►�0J��IIJ0L;IIIJi(Cv 00 SHEATHING NO. OF FAMILIES: DWEL I G UNITS: APT CO D: STAT CLAS . YES 210 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ,�ki�li AIR QUALITY: 1000 FEET MATERIALS c=t. ` *'• SHEAR PANELS NO NO NO ��' '� FRAME INSPECTION ff I� ��, REQUIRED TOTAL SETBACK FROM EXIST 48 OQ� FIRE SPRIN ER HANGERS SET BACK FRONT PL- YARD: HWY: PROP LINE: WIDTH: �ervic a'Th5 vv INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL--- EXTERIOR AT /DR WALLEXTERIOR LATH RATED LOOR/ L SSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAI AG REPORT ID: DPR261 ROUTE TO: SS0508